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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Form Of Treatment Is Needed For Hypersensitivity Pneumonia With Superimposed Bacterial Pneumonia?

Hi Doctor my baby has had respiratory issues since birth such as pneumonia, bronchiolitis etc. he has episodes of respiratory distress where his lips suddenly turn grayish but then it disappears after a few minutes. He has subcoastal recessions.mhe currently did s ct scan and the findings suggest hypersensitivity pneumonia with superimposed bacterial pneumonia. What form of treatment will he need pls and is it urgent?
Thu, 11 Dec 2014
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General & Family Physician,  's  Response
Hypersensitivity pneumonitis is a chronic inflammation of the lungs parenchyma.It results from an allergy to a particular allergen for instance bird feather, sugarcane bagasse, plastic, cheese, paints.
treatment requires identification of the allergen and complete avoidance of that allergen. Prednisolone @ 1mg/kg/day for 2 to 4 weeks followed by tapering over next 4 weeks help resolve the symptoms.
for bacterial infection, a good gram positive and negative coverage antibacterial like Tab Cephalexin( Sporidex) @ 50 mg/kg/day for 10 days will do.
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What Form Of Treatment Is Needed For Hypersensitivity Pneumonia With Superimposed Bacterial Pneumonia?

Hypersensitivity pneumonitis is a chronic inflammation of the lungs parenchyma.It results from an allergy to a particular allergen for instance bird feather, sugarcane bagasse, plastic, cheese, paints. treatment requires identification of the allergen and complete avoidance of that allergen. Prednisolone @ 1mg/kg/day for 2 to 4 weeks followed by tapering over next 4 weeks help resolve the symptoms. for bacterial infection, a good gram positive and negative coverage antibacterial like Tab Cephalexin( Sporidex) @ 50 mg/kg/day for 10 days will do.